The fundamental flaw with low-GI diets

rory robertson

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Many are aware that the low-GI industry revolves around the claim that low-GI carbohydrates - GI 55 and under - are good for your health while those above GI 55 supposedly are bad.

So everyday boiled potatoes are deemed borderline evil - suffering up to triple-figure GI readings - despite the fact that they score very favourably on the (more important?) measure of "satiety" (http://www.ncbi.nlm.nih.gov/pubmed/7498104 ).

Importantly, it turns out that the “sweet poison” half of table sugar - fructose - has a super-low GI of 19, towards the very bottom of the GI scale. Fructose is super-low GI so it must be a “good" food, right?

And if any processed food product is not low GI, then just add fructose because adding fructose is the recipe for a lower GI reading. Food companies keen to get on board the Low-GI train have an incentive to add fructose, to make processed food lower GI and less healthy in the process.


How low on the GI scale would you like your manufactured food product, Sir? 54? 53? 45? 40? Tell me when to stop pouring! Check out the sweet-as low GIs of high-added-fructose “Coca Cola”, "Milo", “Snickers Bar”, "Ice Cream", “Cake” in a search at http://www.glycemicindex.com/foodSearch.php .


The fact that fructose has a super-low GI of 19 is a profound flaw in the "GI story". This fundamental flaw is the awkward bit the low-GI industry avoids mentioning like the plague.

Awkwardly, if super-low-GI fructose turns out not to be “just another carbohydrate”, but as harmful as Lustig, Gillespie and a growing nucleus within the global scientific community believe – that in modern doses it is driving global obesity and diabetes – the low-GI industry will have been completely wrong on the thing that matters most. (Maybe set up a Google "alert" for fructose and watch it happen?)

Someone unkind might then say that the low-GI school at the University of Sydney had spent decades seeking to identify “good carbs” and “bad carbs”, yet somehow managed not to identify the only profoundly bad carbohydrate – fructose.

In any case, incentives matter, so it must be noted that the low-GI industry has a strong incentive to sound certain that sugar/fructose is not a problem, and to dismiss the idea that modern doses of super-low-GI fructose are a major driver of global obesity, diabetes and other self-inflicted “diseases of affluence”.

And that’s what the low-GI industry did – for whatever reasons – when it published its spectacularly wrong but nevertheless high-profile Australian Paradox paper in the incompetently peer-reviewed “journal” Nutrients (see #10 and # 11 at http://www.australianparadox.com ).

For the low-GI industry, the good news is that the most-popular carbohydrate in our food supply – added fructose – also is pretty well the lowest-GI carbohydrate. The bad news is that a growing nucleus of global scientific opinion considers super-low-GI fructose to be the primary driver of the global obesity and diabetes epidemic (http://www.nytimes.com/2011/04/17/magazine/mag-17Sugar-t.html?pagewanted=all ).

The likelihood that the low-GI industry would tend to contract or collapse if modern doses of super-low-GI fructose/sugar came to be viewed widely by consumers as a major health hazard represents a serious conflict of interest for the high-profile low-GI industry.

At the same time that evidence against super-low-GI fructose has been accumulating, the low-GI industry has been very active in the public debate downplaying publicly the extent to which sugar/fructose is a health hazard.

The low-GI industry’s conflict of interest boils down to this
:

(i) It matters for the prosperity of the low-GI industry that super-low-GI fructose - mixed into tens of thousands of processed foods - remains widely perceived by consumers as safe to eat.

(ii) Low-GI researchers have been high profile in claiming low-GI fructose is safe in usual modern doses.

(iii) There is growing evidence that modern doses of fructose added to processed foods are a key driver of obesity, diabetes and other “diseases of affluence”.

In my opinion, the general public should know about (i) when interpreting (ii).

Just as it turned out to have been a good idea to be sceptical of the tobacco industry’s assurances that smoking is not a health hazard, the University of Sydney, the media and everyday Australians looking for reliable dietary advice need to be aware that the low-GI industry has a strong - indeed, existential - interest in communicating the claim that added sugar in modern doses is not a problem.

Thus the low-GI industry cannot be treated simply as an objective observer in any debate involving sugar/fructose and health issues. It has a serious yet still undisclosed conflict of interest because – given the ubiquity of super-low-GI fructose in today’s food supply - “Sugar is not the problem” must be the low-GI industry’s “party line”.

All this and more can be read in more detail at http://www.australianparadox.com/

Best wishes,
Rory Robertson
 

Hobs

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I am sure most average consumers who like to lean towards lower GI diets are not stupid and also read the ingredients list before adding to their shopping basket :clap: :thumbup:
 

rory robertson

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That's great if everyone is aware of this fundamental flaw already. The key point is that fructose is super-low GI. In Australia, we have a "Low GI" stamp on foods that are supposed to be "healthy". Yet many of them contain heaps of added sugar/fructose, so are - depending on your view on the dangers of added fructose - not healthy at all. What we need is something like this:

WARNING: Fructose is the lowest-GI Carbohydrate. This means that sweet-tasting foods containing added sugar often are low GI. When using GI as a dietary intervention you should disregard foods bearing a low GI certification if that product contains added sugar/fructose.
 

Sid Bonkers

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The GI industry?????

I wasnt aware that Glycemic Index was an industry, I always thought it was a concept based on how particular foods impact on blood glucose, how any food processing company wishes to use that concept is a mater for them and if you dont like it then dont eat it. I eat very little highly processed food always preferring to cook fresh whole foods and do often mix higher and lower GI foods to lower the total glycemic load of a particular meal, almost without thinking nowadays.

Frankly I think your rant at the food industry is preaching to the converted but to blame GI for problems with highly processed foods is way off the mark, what about all the other preservatives in processed foods its not just fructose you know, you may also like to do some research on E numbers trans fats and sodium chloride too, amongst other things
 

Paul1976

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Indeed Sid,I avoid processed foods where possible and the GI value is far from the whole story when it comes to the added 'nasties'.
 

rory robertson

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Fair enough, Sid. But not everyone is as well-informed as they could be. We have hundreds of thousands even millions of people looking for reliable dietary advice but getting tangled up with an approach that is fundamentally flawed. It would be good if they come across reliable information early on, so they get a reasonable shot at the better health they are working towards.
 

Paul_c

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I go by GL... NOT GI...

http://en.wikipedia.org/wiki/Glycemic_load

I'm diet controlled so don't have the "advantage" of being able to dial up the insulin required to deal with the glucose...

So my aim is to reduce the level of spike and have my carbs released slowly.

There's no way I'm going to go carb counting or low carbing as that diet appears to be miserable...

http://www.ajcn.org/content/76/1/5.full
By definition, the GI compares equal quantities of carbohydrate and provides a measure of carbohydrate quality but not quantity. In 1997 the concept of GL was introduced by researchers at Harvard University to quantify the overall glycemic effect of a portion of food (7–9). Thus, the GL of a typical serving of food is the product of the amount of available carbohydrate in that serving and the GI of the food. The higher the GL, the greater the expected elevation in blood glucose and in the insulinogenic effect of the food.

http://www.health.harvard.edu/newsweek/Glycemic_index_and_glycemic_load_for_100_foods.htm

http://www.dummies.com/how-to/content/the-gl-diet-for-dummies-cheat-sheet.html
 
A

Anonymous

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I tend to follow the low GI option in reference to cereals.... but when it comes to processed foods I'm a lot more cautious. Besides my docs have always said never have more than 2 pieces of fruits daily... and fruit is loaded with fructose. I know about the low GI label you're referring to Rory as it's certainly everywhere in the supermarkets here in Australia. Although I find it funny what is labeled low GI.... as usually the product has a lot of sugar or salt in it. I guess if we can try and figure out a balance that works for us that is the main thing. But I certainly don't believe all the hype thrown at us. They try and get people to eat low fat and low GI, and all that.
 

phoenix

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The fundamental claim of the GI is that you can rank carbohydrate containing foods according to their effect on glucose levels.There are several things that lower GI from cooking method to the type of starch, this is the basic science. GI ranking of itself doesn't mean that a food is good or bad.
That says nothing about the healthiness or not of a food and I don't see anyone who advocates the GI diet doing that They (and that includes the authors of your disputed paper) tend to advocate fresh, natural products. 'If you're under the illusion that chocolates lower GI is a reason to go to town, then think again' (J Brand-Miller)

It appears that people eating low GI diets tend to be the healthiest people and but these people tend to be those that eat few erprocessed foods. The mainstay of many traditionally low GI diets is legumes (lentils, chickpeas etc)
The only fructose that most people using the GI index may come across is that contained in fruit.

Some old fashioned diabetes products, particularly diabetic jams contain fructose but the use of such products is not supported by either the major Diabetes charity DUK or the FSA.

R Lustigs claims on HGFS (a sweetner with a higher GI) have little to do with the GI and are not of the same importance in Europe since their use is very limited and subject to a production quota.
( also read low carb RD Feinmann, a prominent low carb advocate and Professor of biochemistry who claims that Lustig 's presentations make elementary errors in chemistry http://rdfeinman.wordpress.com/2011/07/ ... portunity/ )
 

borofergie

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rory robertson said:
The likelihood that the low-GI industry would tend to contract or collapse if modern doses of super-low-GI fructose/sugar came to be viewed widely by consumers as a major health hazard represents a serious conflict of interest for the high-profile low-GI industry.

I'd have to agree with Sid, I'm not aware that there is much of a low-GI industry in the UK that would be worth collapsing. It just doesn't have any profile here. Maybe you can buy "low-GI" foods in specialist shops, but it's not something you see at the supermarket.

I agree that fructose is pretty nasty stuff, but HFCS is also not a significant part of our food, as the EU has strict production quotas, 300,000 tonnes as compared to 18.6 million tonnes of sugar. If you are a diabetic, you'd have to be pretty dumb to be eating significant quantities of any monosaccharide

My own problem with GI, is that it seems to be a front for the grain industry, which I do think is a significant problem:
http://www.wheatfoods.org/sites/default ... micpt2.pdf
http://www.wheatfoods.org/sites/default ... d62010.pdf

For the low-GI industry, the good news is that the most-popular carbohydrate in our food supply – added fructose – also is pretty well the lowest-GI carbohydrate. The

The most popular carbohydrate in our food supply is wheat flour. Sugar is a distant second.

rory robertson said:
(iii) There is growing evidence that modern doses of fructose added to processed foods are a key driver of obesity, diabetes and other “diseases of affluence”.

Not in the EU.
 

rory robertson

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Sid, I'm not concerned about the food industry. It does a good job at providing cheap food within the constraints set out by governments, via consumers and scientists. My beef is that underperforming academics/scientists are publishing factually incorrect conclusions in third-rate "journals" and misleading the public debate, and giving the food industry and health-conscious consumers the wrong guidelines. Sid, if you like, check out #10 and #11 at www.australian paradox.com and come back with your assessment of the disputed research. There's a $20,000 reward if you can prove what Australia's highest-profile (and low-GI) nutritionists are claiming - sugar consumption and obesity are unrelated - is correct.

Cheers,
Rory
 

lucylocket61

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I am aware that some of our members come from outside the EU and are Australian and American, so this information is very relevant to them.

Interesting about the HFCS quota in the EU.
 

rory robertson

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Borofergie, my guess is that added fructose/sugar is found in more manufactured food products than is wheat/grain but, yes, consumption of grains would exceed that of sugar (there's a great chart on this here: http://www.australianparadox.com/part-2 ).

I would argue, however, that 50kg per year of added sugar is far more damaging than 50kg per year of grains. And when we're eating grains it's pretty clear we're eating grains. Not everyone is aware that their breakfast cereal, biscuits, breads, buns, sauces, etc tend to have significant infusions of added fructose. It all adds up. And my reading of the evidence is that fructose overload is giant problem globally, including in the UK.
 

borofergie

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rory robertson said:
I would argue, however, that 50kg per year of added sugar is far more damaging than 50kg per year of grains. And when we're eating grains it's pretty clear we're eating grains. Not everyone is aware that their breakfast cereal, biscuits, breads, buns, sauces, etc tend to have significant infusions of added fructose. It all adds up. And my reading of the evidence is that fructose overload is giant problem globally, including in the UK.

Only because grains are 70% carbohydrate. I'd say that eating 71.4kg of refined grains is more deleterious to your health than eating 50kg of glucose (which is a natural fuel that your body can process), wheras grains contain lectins and gluten.

As a diabetic, I know that it's much easier to avoid sugar than it is flour, mainly because the former is easily replaceable by sweetners, wheras there are few legitimate replacements for the latter, but also because flour is so ubiquitous: the average consumption of sugar in the UK is 36kg (100g a day), the average consumption of wheat is 97kg (267g per day).
 

rory robertson

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Borofergie, I'd also argue that - because most of the sugar we eat is already mixed into locally produced and imported foodstuffs - that UK figure of (just) 36kg per annum is an underestimate. That is, it's very hard for the Statistician to produce a reliable measure of the TOTAL amount of sugar consumed in the UK or anywhere else. It's all the Statistician can do to produce a reliable estimate of the prices of foodstuffs (for the Consumer Pirce Index), let alone estimate the SUGAR PORTION (%) times WEIGHT (grams) times the NUMBER of each product consumed, for EVERY processed food product sold across the nation.

Anyway, I'm guessing we can agree that avoiding refined sugar and grains is the guts of any sensible anti-obesity, anti-diabetes programme.

Best wishes,
Rory
 

borofergie

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rory robertson said:
Anyway, I'm guessing we can agree that avoiding refined sugar and grains is the guts of any sensible anti-obesity, anti-diabetes programme.

:thumbup: